- Robert Half Accountemps (Los Angeles, CA)
- …* Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections. Requirements * Minimum of ... discrepancies. * Ability to manage refunds and recoupments in compliance with payer requirements. * Proficient in analyzing and resolving credit balances. *… more
- PeaceHealth (Vancouver, WA)
- …productivity standards. + Ensures compliance and claims processed in accordance with payer contracts and policies, as well as to settle claims as appropriate. ... + Identifies, researches and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up. +… more
- Dentsply Sirona (Pensacola, FL)
- …Customer Care Specialist ensures all activities adhere to regulatory, payer , and compliance standards while demonstrating professionalism, efficiency, and compassion ... and supporting clinical documentation to ensure full compliance with payer guidelines, DME requirements, and regulatory standards.** + **Validates diagnosis… more
- Community Health Systems (Granger, IN)
- …Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. + Communicates with insurance companies, ... corrective actions. + Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. + Maintains accurate… more
- Merck (North Wales, PA)
- …other Digital Human Health (DHH) functions, including Market Research, Data Science, and Payer Analytics to build a strong perspective on the market and asset ... indication(s). + Partner closely with Marketing Engagement, Market Research, Data Science, Payer Analytics, and other DHH functions on a continual basis to develop… more
- Mallinckrodt Pharmaceuticals (Orlando, FL)
- …In addition to leading case "pull-through", the ARM also identifies payer trends, alerts business partners, and takes initiative around developing, coordinating ... commercial and government payers + Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- St Croix Hospice (Sioux Falls, SD)
- …maintains positive working relationships with current and potential referral and payer sources. + Assist in recruitment, selection, orientation, and supporting the ... business development team. + Builds and monitors community, customer, payer and patient perceptions of the organization. + Provides leadership and support to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …orassistswith finding the correct team for the inquiry. + Answerscomplex payer -related questions. + Coordinates with clinicians and other staff members to ... that all necessary medical information was provided to the third-party payer . + If necessary, helpsclinicalteam understand denial and coordinatesappealprocess. +… more
- UNC Health Care (Lenoir, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, ... management of patients' care as applicable per patient population. 7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization… more